QB1 | Practice Exam #15 -> answers with explanation - Free NCLEX Exam Practice

NCLEX-RN | QB1 | Practice Exam #15 (50 questions)

 

1. Which of the following meal selections is appropriate for the client with celiac disease?

• Toast jam and apple juice
• Peanut butter cookies and milk
• Rice Krispies bar and milk
• Cheese pizza and Kool-Aid

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2. Situation: - You are actively practicing nurse who just finished your Graduate Studies. You earned the value of Research and would like to utilize the knowledge and skills gained in the application of research to Nursing service. The following questions apply to research.Q. Which of the following studies is based on quantitative research?

• A study examining the bereavement process in spouses of clients with terminal cancer
• A study exploring factors influencing weight control behavior
• A study measuring the effects of sleep deprivation on wound healing
• A study examining client's feelings before, during and after a bone marrow aspiration

3. Situation: Concerted work efforts among members of the surgical team is essential to the success of the surgical procedure.Q. Minimally invasive surgery is very much into technology. Aside from the usual surgical team who else to be present when a client undergoes laparoscopic surgery?

• Information technician
• Biomedical technician
• Electrician
• Laboratory technician

4. The nurse calls the heath care provider (HCP) regarding a new medication prescription because the dosage prescribed is higher than the recommended dosage. The nurse is unable to locate the HCP, and the medication is due to be administered. Which action should the nurse take?

• Contact the nursing supervisor
• Administer the dose prescribed.
• Hold the medication until the HCP can be contacted.
• Administer the recommended dose until the HCP can be located.

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5. Situation: Melamine contamination in milk has brought world wide crisis both in the milk production sector as well as the health and economy. Being aware of the current events is one quality that a nurse should possess to prove that nursing is a dynamic profession that will adapt depending on the patient's needs.Q. Most of the milks contaminated by melamine came from which country?

• India
• China
• Philippines
• Korea

6. A health care provider's prescription reads clindamycin phosphate 0.3 g in 50 mL normal saline (NS) to be administered intravenously over 30 minutes. The medication label reads clindamycin phosphate 900 mg in 6 mL. The nurse prepares how many milliliters of the medication to administer the correct dose?

• 3 mL.
• 1 mL.
• 2 mL.
• 4 mL.

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7. A patient is scheduled for a bowel resection. The preoperative plan of care includes putting on antiembolism stockings prior to the transferring the patient to the operating room. What these stockings will do?

• Promote venous return
• Minimize joint stillness
• Encourage sustained maximum inspiration
• Support intestinal peristalsis

8. A healthy 26-year-old patient is at 39-weeks-gestation. The patient is not considered high risk at the time of admission to the labor and delivery unitWhich of the following pending laboratory test results should receive PRIORITY?

• Hematocrit
• Red blood cell count
• White blood cell count
• Blood type

9. A patient has an elevated prothrombin (PT) time. Which medication should the Nurse consider as a possible cause of the elevated PT Time?

• Rifampin
• Vitamin K
• Birth control pills
• Phenytoin (Dilantin)

10. Which of the following is the ileostomy for an

• upper right
• lower right
• upper left
• lower left

11. A client taking Coumadin is to be educated on his diet. As a nurse, which of the following food should you instruct the client to avoid?

• Spinach, Green leafy vegetables, Cabbage, Liver
• Salmon, Sardines, Tuna
• Butter, Egg yolk, breakfast cereals
• Banana, Yeast, Wheat germ, Chicken

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12. At what APGAR score at 5 minutes after birth should resuscitation be initiated?

• 1-3
• 7-8
• 9-10
• 6-7

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13. SITUATION : Wide knowledge about the human ear, it's parts and it's functions will help a nurse assess and analyze changes in the adult client's health.Q. Nurse Oca will do a caloric testing to a client who sustained a blunt injury in the head. He instilled a cold water in the client's right ear and he noticed that nystagmus occurred towards the left ear. What does this finding indicates?

• Indicating a Cranial Nerve VIII Dysfunction
• The test should be repeated again because the result is vague
• This is Grossly abnormal and should be reported to the neurosurgeon
• This indicates an intact and working vestibular branch of CN VIII

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14. Nurse Michelle calculates the IV flow rate for a postoperative client. The client receives 3,000 ml of Ringer's lactate solution IV to run over 24 hours. The IV infusion set has a drop factor of 10 drops per milliliter. The nurse should regulate the client's IV to deliver how many drops per minute?

• 18
• 21
• 35
• 40

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15. The client with an above the knee amputation is to use crutches until the prosthesis is being adjusted, in which of the following exercises would the nurse instruct the client to best prepare him for using crutches?

• Abdominal exercises
• Isometric shoulder exercises
• Quadriceps setting exercises
• Triceps stretching exercises

16. A high school student is referred to the school nurse for suspected substance abuse. Following the nurse's assessment and interventions, what would be the most desirable outcome?

• The student discusses conflicts over drug use.
• The student accepts a referral to a substance abuse counselor.
• The student agrees to inform his parents of the problem.
• The student reports increased comfort with making choices.

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17. The nurse prepares to palpate a client's maxillary sinus. For this procedure, where should the nurse place the hands?

• On the bridge of the nose
• below the eyebrows
• below the cheekbones
• over the temporal area

18. Situation: In your professional nursing role, it is essential to establish a meaningful nurse­ patient relationships The client said "I am troubled that my Son is starting to use drugs" The nurse replied, "It's troubling and painful for you, I feel sorry about this? The nurse's reply is an example of:

• Empathy
• Sympathy
• Telepathy
• Self awareness

19. Gina is using Oresol in the management of diarrhea of her 3-year old child. She asked you what to do if her child vomits. As a nurse you will tell her to:

• Bring the child to the nearest hospital for further assessment.
• Bring the child to the health center for intravenous fluid therapy.
• Bring the child to the health center for assessment by the physician.
• Let the child rest for 10 minutes then continue giving Oresol more slowly.

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20. Which Interventions are appropriate for the care of an infant? Select all that apply. 1. Provide swaddling. 2. Talk in a loud voice.3. Provide the infant with a bottle of juice at nap time.4. Hang mobiles with black and white contrast designs.5. Caress the infant while bathing or during diaper changes.6. Allow the infant to cry for at least 10 minutes before responding.

• 2,3,4
• 1,2,3,5
• 2,4,5
• 1,4,5

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21. A nurse is caring a patient who had a left mastectomy with lymph node removal seven days ago. The patient asks about exercises to regain function of the left arm. Which of the following activities would be MOST appropriate?

• Walking fingers up the wall
• Using five pound weights
• Knitting with a large needle
• Rhythmic clapping

22. The minimum birth weight for full term babies to be considered normal is:

• 2,000gms
• 1,500gms
• 2,500gms
• 3,000gms

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23. A patient with the deep vein thrombosis (DVT) is being treated with a low-molecular weight heparin.(LMWH). The patient reports increased pain in the affected extremely. The nurse observe the affected extremity has increased in size by 0.2 cm (0.8 inches) during the past 24 hours. Which of the following actions should the nurse take?

• Administer the next dose of LMWH before the scheduled time.
• Apply dry heal to the site
• Elevate the extremity
• Reinforce the importance of ankle circling exercises

24. The nurse is assessing a client with pleural effusion. The nurse expect to find:

• Deviation of the trachea towards the involved side
• Reduced or absent of breath sounds at the base of the lung
• Moist crackles at the posterior of the lungs
• Increased resonance with percussion of the involved area

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25. The nurse calls together an inter disciplinary team with members from medicine, social services, the clergy, and nutritional services to care for a patient with aterminal illness. Which of the following types of care would the team MOST likely is providing?

• Palliative
• Curative
• Respite
• Preventive

26. A female victim of a sexual assault is being seen in the crisis center. The client states that she still feels "as though the rape just happened yesterday," even though it has been a few months since the incident. Which is the most appropriate nursing response?

• "You need to try to be realistic. The rape did not just occur."
• "It will take some time to get over these feelings about your rape"
• "Tell me more about the incident that causes you to feel like the rape just occurred."
• "What do you think that you can do to alleviate some of your fears about being raped again?"

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27. The doctor has ordered Ampicillin 10Omg every six hours IV push for an infant weighing 7kg. The suggested dose for infants is 25 to 50mg/kg/day in equally divided doses. The nurse should:

• Give the medication as ordered.
• Give half the amount ordered.
• Give the ordered amount q 12 hrs.
• Check the order with the doctor.

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28. A client in labor admits to using alcohol throughout the pregnancy. The most recent use was the day before. Based on the clients history the nurse should give priority to assessing the newborn for:

• Respiratory depression
• Wide-set eyes
• Jitteriness
• Low-set ears

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29. Following emergency endotracheal intubation, you must verify tube placement and secure the tube. List in order the steps that are required to perform this function? a.Obtain an order for a chest x-ray to document tube placement. b.Secure the tube in place. c.Auscultate the chest during assisted ventilation. d.Confirm that the breath sounds are equal and bilateral.

• C, B, A, D
• C, D, B, A
• A, B, D, C
• C, A, B, D

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30. SITUATION: John, a 27 basketball player sustained inhalation burn that required him to have tracheostomy due to massive upper airway edema.Q. If a Wall unit is used, What should be the suctioning pressure required by John?

• 50-95 mmHg
• 95-110 mmHg
• 100-120 mmHg
• 155-175 mmHg

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31. She came across a theory which states that the leadership style is effective dependent on the situation. Which of the following styles best fits a situation when the followers are self­ directed, experts and are matured individuals?

• Democratic
• Authoritarian
• Laissez faire
• Bureaucratic

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32. Which of the following statement is TRUE about pulse?

• Young person have higher pulse than older persons
• Males have higher pulse rate than females after puberty
• Digitalis has a positive chronotropic effect
• In lying position, Pulse rate is higher

33. A client with anorexia nervosa tells the nurse, "When I look in the mirror, I hate what I see. I look so fat and ugly." Which strategy should the nurse use to deal with the client's distorted perceptions and feelings?

• Avoid discussing the client's perceptions and feelings.
• Focus discussions on food and weight.
• Avoid discussing unrealistic cultural standards regarding weight.
• Provide objective data and feedback regarding the client's weight and attractiveness.

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34. The nurse is assessing a patient with a history of a seizure disorder. While checking the patient's vital signs, the patient develops rhythmic, jerking movements of the arms and legs. The nurse should IMMEDIATELY place the patient in which of the following positions?

• Prone
• Supine
• Semi-fowler's
• Lateral

35. John has a fever of 39.5 degrees 2 days ago, But yesterday, he has a normal temperature of 36.5 degrees. Today, his temperature surges to 40 degrees. What type of fever is John having?

• Relapsing
• Intermittent
• Remittent
• Constant

36. Situation: You are actively practicing nurse who has just finished your graduate studies. You learned the value of research and would like to utilize the knowledge and skills gained in the application of research to the nursing service. The following questions apply to research.Q. Which of the following studies is based on the qualitative research?

• A study examining client's reaction to stress after open heart surgery
• A study measuring nutrition and weight loss/gain in clients with cancer
• A study examining oxygen levels after endotracheal suctioning
• A study measuring differences in blood pressure before, during and after procedure

37. Joy who has just experienced her second spontaneous abortion expresses anger towards her physician, the hospital and the "rotten nursing care", When assessing the situation, the nurse recognizes that the client may be using the coping mechanism of:

• Projection
• Displacement
• Denial
• Reaction formation

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38. The patient is prescribed metronidazole (Fiagyl) for adjunct treatment for a duodenal ulcer. When teaching about this medication the nurse would include:

• This medication should be taken only until you begin to feel better.
• While taking this medication you do not have to be concerned about being in the sun.
• This medication should be taken on an empty stomach to increase absorption.
• While taking this medication alcoholic beverages and products containing alcohol should be avoided.

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39. A healthy 26-year-old patient is at 39-weeks-gestation. The patient is not considered high risk at the time of admission to the labor and delivery unit. Which of the following pending laboratory test results should receive PRIORITY?

• Red blood cell count
• Hematocrit
• White blood cell count
• Blood type

40. Barangay Pinoy had an outbreak of German measles. To prevent congenital rubella, what is the BEST advice that you can give to women in the first trimester of pregnancy in the Barangay Pinoy?

• Advise them on the signs of German measles.
• Avoid crowded places, such as markets and movie houses.
• Consult at the health center where rubella vaccine may be given.
• Consult a physician who may give them rubella immunoglobulin.

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41. Situation: - You are the nurse in the Out-Patient-Department and during your shift you encountered multiple children's condition. The following questions apply.Q. You assessed a child with visible severe wasting, he has:

• edema
• LBM
• kwashiorkor
• marasmus

42. Among the following diseases, which is airborne?

• Viral conjunctivitis
• Acute poliomyelitis
• Diphtheria
• Measles

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43. Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea?

• Notify the physician immediately
• Administer antidiarrheal medications
• Monitor child ever 30 minutes
• Nothing, this is characteristic of Hirschsprung disease

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44. Which paranasal sinus is found over the eyebrow?

• Ehtmoid
• Sphenoid
• Maxillary
• Frontal

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45. Situation: Mr Gil age 86 years, has been diagnosed with Alzheimer's disease.Q. What is the nurse's primary objective for Mr. Gil when he is experiencing dementia and delirium?

• Diminished psychological faculties
• Interaction with the environment
• Participation with the environment
• Face to face contact with the other clients

46. Situation. Ellen is experiencing left sharp pain and occasional hematuria. She was advised to undergo IVP by her physician.Q. Ellen was so anxious about the procedure and particularly expressed her low pain threshold. Nursing health instruction will include:

• assure the client that the pain is associated with the warm sensation during the administration of the Hypaque by IV
• assure the client that the procedure painless
• assure the client that contrast medium will be given orally
• assure the client that x-ray procedure like IVP is only done by experts

47. Situation: You are now working as a staff nurse in a general hospital. You have to be prepared to handle situations with ethico-legal and moral implications.Q. You are on duty in the medical ward. The mother of your patient who is also a nurse came running to the nurse station and informed you that Fiolo went into cardiopulmonary arrest Which among the following will you do first?

• Start basic life support measures
• Call for the Code
• Bring the crush cart to the room
• Go to see Fiolo and assess for airway patency and breathing problems

48. A 21 year-old male has been seen in the clinic for a thickening in his right testicle. The physician ordered a human chorionic gonadotropin (HCG) level. The nurse's explanation to the client should include the fact that

• The test will evaluate prostatic function.
• The test was ordered to identify the site of a possible infection.
• The test was ordered because clients who have testicular cancer has elevated ievels of HCG
• The test was ordered to evaluate the testosterone level.

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49. CHN is a community-based practice. Which best explains this statement?

• The service is provided in the natural environment of people
• The nurse has to conduct community diagnosis to determine nursing needs and problems
• The service are based on the available resources within the community
• Priority setting is based on the magnitude of the health problems identified

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50. Marco who was diagnosed with brain tumor was scheduled for craniotomy. In preventing the development of cerebral edema after surgery the nurse should expect the use of:

• Diuretics
• Antihypertensive
• Steroids
• Anticonvulsants

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NCLEX-RN | QB1 | Practice Exam #15 (50 questions)